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General NPI Number Information
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NPI Number | 1881075901
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Entity Type | Organization
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Legal Business Name | PODIATRY SERVICES OF CENTRAL NEW YORK, PC
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Dates
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Enumeration Date | 06/15/2015
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 208 TUSCORORA ROAD SUITE B
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City | CHITTENANGO
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State | NY
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Zip | 13037-1634
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Country | US
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Telephone | 315-687-9400
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Fax | 315-687-9494
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Provider Business Mailing Address
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Address Line | 514 SOUTH BAY ROAD
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212
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Country | US
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Telephone | 315-458-1777
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Fax | 315-458-9661
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Authorized Official
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Title or Position | OWNER
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Name | FREDDIE L EDELMAN
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Credential | DPM
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Telephone | 315-458-1777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | N002777-1
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License Number State | NY
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